NPI age
19 years
Enumerated 2006-10-12
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000935261D | |
| 01 (GA) | 339452 | WELLCARE |
| 05 (SC) | GPD941 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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